The URL can be used to link to this page

Home My WebLink About0073 LINDA LANE - Health 1:oq. rr 4y TOWN OF BARNSTABLE _ LOCATION �3 . L." [h SEWAGE # VILLAGE H 3 ASSESSOR'S MAP & INSTALLER'S NAME & PHONE NO. A. 94,Ito SEPTIC TANK CAPACITY 1 P'ogAl v LEACHING FACILITY:(type) (size) la A L, NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLICIC VVATE BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: '° ""�'c VARIANCE GRANTED: Yes No i 1 cN � � cJ c� `^ �� v 3 �v n. � '� r �� y _ � � O � � � � � o 0 �,.�.� � SZ 4 � L � i o �. �h' � ,' . , .., � ASSESSORS MAP NO: 7 PARCEL NO: eT 1 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Ap.plirativit for Uhvipas al Work.6 Tomitrnrtiun Fermi# Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal L System at: .......................7 5...L,?!!!6...hGH.............. .Gt/1e—'. --•--•------•---•------------------•............................... ,�/� Location %ddress or Lot No. IY/(r✓ fHnP 7 ---/M( A �/lh2 /� n O� ; /J Addres .. `W1 .............��---N.....�!._._l��rt Tf..•---•-•-•---------......-••----•-••-..... --fs..-.-...� �1�....?I-_ =-�jY�Y�S._f�-�t. .2....... Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms--------3-------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) 04 Other fixtures ---------------------------------- W Design Flow--------------------------------------------gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacitv------------gallons Length---------------- Width....--.--------- Diameter................ Depth............--.. x Disposal Trench—No. .................... Width-_-.------_------- Total Length----..-_.-_--_----. Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.--_---.-_-.------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed bY----------------- ........................................................ Date........................................ Test Pit No. I----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water---..................... fi, Test Pit No. 2................minutes per inch Depth of Test Pit.__-----_------.--. Depth to ground water...-_------..--..-.----. p� •-----------------------------------------••-•---...--........••-•••...........--•---............--•......................................................... 0 Description of Soil............................................................................................-•--------•------••-•-•--•-•-• ................., x -. W ----------------------------------------------------------------------------------- /' U Nature of Rep airg or Alterations—Answer when applicable-----�i�?_�r-ate-e--.C-Pry -. d! ------Sc�:.... .......------------------- ......................... i l t S s�w..........1.�!?t ...V I,115 - --9.....�A4.cn --14ai l k �Oc_ 4/_w `f � Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance ha been issued by the board of health. Signed ------------ ------ -.a �—�/—}1— . ........ ............... Application.Approved BY - -........_. L� �'•��'�-s� ....... ......._....... ...........................- - ................Dare.......... ...... Application Disapproved for the following reasons- ------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------- ------ ------------------- ------- Permit No. �-�- ...................... Issued t Dare i v No... r,J!. �C1 FEs.....::2f2.*f...... THE COMMONWEALTH OF MASSACHUSETTS r• BOARD OF HEALTH TOWN OF-BARNSTABLE Appliration for Divi-puml Workii C omitrurtiun 11trutit Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at: ,1,y J Location/-Address / ! lr. 1 !t�//�rar�..../fY71�Pi/.�s �✓ L /Me7+ei i�dnLt No.�/"?4+hhiS ............. ' k-- O m r Address J� h �1. r- *-' ---------------------------------•---....._ l � cciG/ti H ,, 4 .�x h!�, %l�_.. Installer Address Type of Building Size Lot............................Sq. feet .-� Dwelling— No. of Bedrooms--------:3-------------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of ersons____________________________ Showers a g ---------------------------- P ( ) — Cafeteria ( ) Otherfixtures ------------------------------------------------------------------------------- ------ ----------------------------------------------------•-------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity_____.---__gallons Length---------------- Width---------------- Diameter---............. Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No...................... Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) IH Percolation Test Results Performed by.......................................................................... Date........................................ 1 Test Pit No. 1----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ (X4 Test Pit No. 2................minutes per inch. Depth of Test Pit-------------------- Depth to ground water........................ 1:4 ....••••-•••--------------------•--•-----•-•----••••--••-•-•••-••-•-•-......•-••••-•---------••--••-......................................................... VDescription of Soil-------•-------------------------------------------••--------------.-----------•------------------- ..... =rc' i- - - VW ------------------- -�� -------------------•--•---------•---•--•---- Nature of Repairs or Alterations—Answer when applicable.___.k_.-.,CPjo__c r •i:D�u1S-.---_7,�................................ ..••-• 7i7�/! '7L......./fig. /St�c� SJ" .,_ Jj�_, L« ( �,/ta. �dov�„l k�/�'s};•,�� -- - r Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code —The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed -------------- `., -.......0... -------..------------- ------ - f- /� Da e Alicat'on Approved B � �Z�A! -I---- [./ � ri7------------------------------- ✓ .�a�- PP PP Y ........_..... ....-- _...... _e - Application Disapproved for the following reasons: ........................................................................ - - ....... ........ ..................................... ..................... -- ..................................... Permit No. ...:.. .... T._..... Issued --------------------------.�-� ----------------- --- Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (Ilvdifira e of Tomplianee THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( Z--y by ------------------------------------------- -------------------- --------- `,1-.------------------------------------------------------------------------------------------------__----- / Insrdler at ------------------------ -----44.k L.. ---------- C,.. ./')-f.-yam.....---. ---------- ---------------------------------------------------- has been installed in accordance with the provisions dt TITLE of Tie State.Environmental Code as described in the application for Disposal Works Construction Permit No.' E_—_11 �.. ..�' dated .LT� ..F'`� THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE-----i%.....``--�/- -.......1.- 1�-._....-_.... .... Inspector-- % �- -- -... -..... .:._..... - - f ... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No... '�..... FEE.. Diuvnuttl Marks Tamitrudion rantit J .Permission is hereby granted-------_-_--_--------_- v- A. 6 lqe. to Construct ( ) or Repair ( �-f an Individual Sewage Disposal System atNo...................... i .. f •- eet P as shown on the application for Disposal Works Construction P� t. No�f '�...... ed__;__ ✓... - s ue rBoard of Health / DATE.......` .......................... ..................... FORM 36508 HOBBS 6 WARREN.INC.,PUBLISHERS